ICU医院感染特点及临床对策

Features of nosocomial infections in ICU and clinical strategies

目的分析ICU患者医院感染的特点。方法调查2009年1-12月发生医院感染患者的病历,对数据进行统计分析。结果呼吸道和泌尿道感染是ICU医院感染最常发生的部位,分别占81.4%、9.3%,ICU医院感染患者在住院天数、接受侵入性操作、抗菌药物使用时间、意识障碍4个方面不同于普通病房医院感染患者。结论 ICU医院感染患者的特点增加了医院感染防治工作的难度,但通过相应的对策可以有效减低ICU医院感染的发生率。

OBJECTIVE To analyze the patient′s characteristics of nosocomial infection in ICU.METHODS The patients with nosocomial infection who discharged from hospital from Jan to Dec 2009 were investigated and analyzed,（except patients of cadre ward,acupuncture ward and oncology ward）,the data were performed statistical analysis.RESULTS The respiratory tract and urinary tract infections in hospital ICU ward occurred more common,accounting for 81.4% and 9.3%,respectively.Compared with general hospital wards ICU patients,there was difference in patients in normal wards in the following four aspects： hospital stays,receiving invasive operation,use of antibiotics time and disturbance of consciousness.CONCLUSION Characteristics of patients with nosocomial infection in ICU increases hospital infection prevention and control difficult,but by the corresponding counter-measures can effectively reduce the ICU nosocomial infection rate.